John Joseph Anderson Sr., RPH
Individual provider Active NPI Pharmacotherapy Pharmacist · Valdosta, GA
NPI 1992818801 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992818801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacotherapy Pharmacist 1835P1200X
- License
- 9482 (GA)
- Practice address
- 1711 River St
Valdosta, GA 31601-5163 - Phone
- (229) 244-8868
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9482 | GA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pruitthealth Pharmacy Services - Valdosta, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 9482 | GA | Yes |
Addresses
Primary practice location
1711 River St
Valdosta, GA 31601-5163
Mailing address
2218 Brighton PL
Valdosta, GA 31602-2707
Phone (229) 242-0453
Other providers in Valdosta, GA
- Latecia Ammons
- Laura Morgan Ammons
- Amy H. Wells, LCSW PC
- Amber Anderson
- John David Anderson
- Justin Shaw Anderson
- Sharyshma Deshun Anderson
- Thomas L Anderson
- F. Tirrell Andrews
- Lucretia Dionn Andrews
All providers in Valdosta, GA · Pharmacotherapy Pharmacist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.